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Individual

OLUBUNMI DARAMOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-3000
Mailing address
4201 ST ANTOINE DETROIT RECEIVING NURSING ADM, DETROIT, MI 48201
(313) 993-0081

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704152100
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N82760010
MEDICARE PTAN
MI
01
N82770010
MEDICARE PTAN
MI
Enumeration date
03/29/2007
Last updated
04/26/2013
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